| Juanita Wielenga, CNM | |
|
4000 14th St, Suite #314, Riverside, CA 92501-4083 | |
| (951) 781-7140 | |
| (951) 781-7184 |
| Full Name | Juanita Wielenga |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4000 14th St, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982752895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NMW1014 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Wielenga, CNM 4000 14th St, Suite #314, Riverside, CA 92501-4083 Ph: (951) 781-7140 | Juanita Wielenga, CNM 4000 14th St, Suite #314, Riverside, CA 92501-4083 Ph: (951) 781-7140 |
Verna G Ginete, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Patricia Ann Beuoy-schwartzman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-4296 | |
Janice Goings, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Roshann S Samuels, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Andrea M Ferrara, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Loredana Ruiz, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000 | |
Jeri A Sanchez, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 |